Organization · Type 2 NPI

Region IV Elderly Outpatient Psychosocial Desoto

Community/Behavioral Health Agency · Southaven, MS

NPI number 1659786887 Active

Practice location

915 Ferncliff Cv, Suite 1A
Southaven, MS 38671-2420

Call (662) 449-1971 Map

Fax (662) 449-1974

Mailing address

PO Box 839
Corinth, MS 38835-0839

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1659786887

Region IV Elderly Outpatient Psychosocial Desoto's National Provider Identifier is 1659786887, issued on Jun 26, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Southaven, MS. The record was last updated on Jun 26, 2014.